Individual provider Active NPI

Irene Zen, PMHNP-BC, MSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lorton, VA
National Provider Identifier
1417406349
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024176896 Issued in VA
Practice address
9107 Kevin Kraig Rd
Lorton, VA 22079-3475
Phone
(617) 785-7281
Fax
(617) 544-0529
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001283965 VA
Registered Nurse 163W00000X 2290392 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2016013790 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176896 VA Primary

Addresses

Primary practice location

9107 Kevin Kraig Rd
Lorton, VA 22079-3475

Mailing address

9107 Kevin Kraig Rd
Lorton, VA 22079-3475
Phone (617) 785-7281

Other practice location 1

100 Cambridge St Ste 14
Boston, MA 02114-2509
Phone (617) 917-2389

Other practice location 2

8300 Boone Blvd Ste 500
Vienna, VA 22182-2681
Phone (703) 884-2598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208000565 MA Practitioner - Nurse Practitioner 5597045542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2290392MAMDRegistered Nurse
2016013790MAMDPsychiatric/Mental Health Nurse Practitioner
0024176896VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 11, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1417406349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 KEVIN KRAIG RD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793475",
            "telephone_number": "617-785-7281",
            "fax_number": "617-544-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 KEVIN KRAIG RD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220793475",
            "telephone_number": "617-785-7281",
            "fax_number": "617-544-0529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cambridge St Ste 14",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142509",
            "country_code": "US",
            "telephone_number": "617-917-2389",
            "fax_number": "954-480-1784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Boone Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822681",
            "country_code": "US",
            "telephone_number": "703-884-2598",
            "fax_number": "954-480-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEN",
        "first_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001283965",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2290392",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2016013790",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.